Consumerism is closely entwined with politics and policy. From a payment standpoint, consumers now have less direct involvement with payment than ever before. The author says this because the argument for consumer-driven health plans is that when consumers pay more out of pocket, they make better choices, and this could have a big effect on the industry. Convenience means not only nearby and open. It also means open without a long wait. Consumers want to make business transactions online. Consumers think the healthcare industry should be more regulated, starting with the pharmaceutical companies. It could be the effect of climate change, baby boomers reverting to their 1960s' mind-set, or filmmaker Michael Moore, but in any case, the public perceives healthcare organizations and their executives to have a social responsibility. And that level of responsibility is perhaps higher than that of other industries, which are assumed to be in it for the money only.